| NPI | 1295322386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: VA 0019018721) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OH 33-022667) |
| Enumeration Date | 2020-12-23 |
| Last Update Date | 2025-05-23 |