| NPI | 1457537821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: SC 5416) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NC 0667) |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2026-06-29 |