| NPI | 1598300709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: KY 284846) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: IL 227017962) |
| Enumeration Date | 2019-11-12 |
| Last Update Date | 2024-01-17 |