| NPI | 1366254682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: AZ MT-26077) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CO MT.0023001) |
| Enumeration Date | 2025-01-23 |
| Last Update Date | 2025-01-23 |