| NPI | 1487319430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NJ 18KT0091200) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: PA MSG011537) |
| Enumeration Date | 2021-11-04 |
| Last Update Date | 2021-11-04 |