| NPI | 1316832413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NJ 18KT0149100) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 033391) |
| Enumeration Date | 2025-06-10 |
| Last Update Date | 2025-06-10 |