| NPI | 1508422940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CT 000726) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 006216) |
| 225700000X Massage Therapist (Licence: CT 006702) | |
| 225700000X Massage Therapist (Licence: NY 028548) | |
| Enumeration Date | 2019-05-10 |
| Last Update Date | 2022-02-08 |