| NPI | 1386367746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA99170) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MA99170) |
| Enumeration Date | 2022-09-21 |
| Last Update Date | 2023-09-14 |