| NPI | 1578168985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NJ 18KT00874100) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: 18KT00874100) |
| Enumeration Date | 2020-12-02 |
| Last Update Date | 2020-12-02 |