| NPI | 1497464788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: VA 001901813) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: PA msg014825) |
| Enumeration Date | 2022-11-16 |
| Last Update Date | 2022-11-16 |