| NPI | 1457081929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NY 032965) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 032695) |
| Enumeration Date | 2022-06-16 |
| Last Update Date | 2022-06-16 |