| NPI | 1619512514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: VA 0019011750) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 173C00000X Reflexologist | |
| 174H00000X Health Educator | |
| 251K00000X Public Health or Welfare | |
| Enumeration Date | 2019-11-14 |
| Last Update Date | 2023-04-10 |