| NPI | 1427742170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NY 028721) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 033220) |
| Enumeration Date | 2023-06-06 |
| Last Update Date | 2023-06-06 |