| NPI | 1326620808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NY 031454) |
| Additional Taxonomies | 225700000X Massage Therapist |
| 225700000X Massage Therapist (Licence: CO 0024076) | |
| Enumeration Date | 2021-04-24 |
| Last Update Date | 2021-04-24 |