| NPI | 1306404934 |
|---|---|
| Professional Name | N/A N/A |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: DC MT2167) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MD M04890) |
| 225700000X Massage Therapist (Licence: VA 0019011796) | |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2019-05-29 |