| NPI | 1295374874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MI 7501014816) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: AZ MT-13075) |
| Enumeration Date | 2019-12-31 |
| Last Update Date | 2024-01-24 |