| NPI | 1598324212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WV 2016-3386) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: VA 0019017122) |
| Enumeration Date | 2019-06-06 |
| Last Update Date | 2019-06-06 |