| NPI | 1407515307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MS 3851) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: VA 0019016323) |
| Enumeration Date | 2021-12-08 |
| Last Update Date | 2024-11-18 |