| NPI | 1578381786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MD M06664) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: VA 0019019925) |
| 225700000X Massage Therapist (Licence: DC MT200001388) | |
| Enumeration Date | 2024-09-27 |
| Last Update Date | 2024-09-27 |