| NPI | 1538766787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: KY 261860) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: IN MT22007145) |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2020-12-02 |