| NPI | 1518655968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MI 7501005181) |
| Additional Taxonomies | 225A00000X Music Therapist (Licence: MI 7501005181) |
| Enumeration Date | 2023-04-25 |
| Last Update Date | 2023-04-25 |