| NPI | 1407459845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OH 33.023741) |
| Additional Taxonomies | 225700000X Massage Therapist |
| 225700000X Massage Therapist (Licence: OH 33.023747) | |
| Enumeration Date | 2020-11-18 |
| Last Update Date | 2020-11-18 |