| NPI | 1477215127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NC 19217) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: SC 12317) |
| Enumeration Date | 2021-10-11 |
| Last Update Date | 2024-11-13 |