| NPI | 1386320091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NY 033162-01) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NC 22970) |
| Enumeration Date | 2023-06-26 |
| Last Update Date | 2026-03-06 |