| NPI | 1316754179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: 0019019493) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: VA 0019019493) |
| Enumeration Date | 2024-12-16 |
| Last Update Date | 2024-12-16 |