| NPI | 1558968578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MI 7501007354) |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2020-10-02 |
| Last Update Date | 2023-05-03 |