| NPI | 1598295677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MI 7501010255) |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2021-10-22 |