| NPI | 1568850717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: ND 1130) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MT 1439) |
| Enumeration Date | 2014-12-22 |
| Last Update Date | 2022-08-24 |