| NPI | 1417561069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NY 021947-1) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA91557) |
| 225700000X Massage Therapist (Licence: CA 77138) | |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2020-09-01 |