| NPI | 1447954870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: VA 0091018709) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NC 19491) |
| Enumeration Date | 2023-03-29 |
| Last Update Date | 2023-03-29 |