| NPI | 1548717648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: PA MSG002865) |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2021-01-04 |