| NPI | 1396341327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: KS 2021-58) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: KS MASST19-33924) |
| Enumeration Date | 2020-12-06 |
| Last Update Date | 2020-12-16 |