| NPI | 1376230748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: AK 202486) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: AZ 20731) |
| Enumeration Date | 2023-04-18 |
| Last Update Date | 2023-04-18 |