| NPI | 1508467879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: UT 11841589-4701) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: PA MSG012852) |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2025-12-23 |