| NPI | 1487360863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NY 030073-01) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: UT 10495419-4701) |
| Enumeration Date | 2023-01-27 |
| Last Update Date | 2023-01-27 |