| NPI | 1306244678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NY 025666) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: GA MT009349) |
| Enumeration Date | 2014-12-18 |
| Last Update Date | 2023-08-03 |