| NPI | 1497361729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: TN 11476) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: 11476) |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2020-09-22 |