| NPI | 1568160786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NC 19618) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: SC 12763) |
| Enumeration Date | 2023-02-16 |
| Last Update Date | 2023-02-16 |