| NPI | 1477004240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NY 029082) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: ME MT7297) |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2024-11-12 |