| NPI | 1508608860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: VA 0019010031) |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2024-06-08 |
| Last Update Date | 2024-07-11 |