| NPI | 1346913100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MO 2018045227) |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2021-07-28 |
| Last Update Date | 2021-07-28 |