| NPI | 1336804517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NY 026994) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 026994-1) |
| Enumeration Date | 2021-11-03 |
| Last Update Date | 2022-06-07 |