| NPI | 1477324358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NJ 18KB00096700) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NJ 18KT00228300) |
| Enumeration Date | 2024-01-10 |
| Last Update Date | 2024-01-10 |