| NPI | 1336790146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: UT 9505343-4701) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: AK 148704) |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2026-05-28 |