| NPI | 1467085886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NY 009286-1) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: 009286) |
| 225700000X Massage Therapist (Licence: NY 009286) | |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2020-02-13 |