| NPI | 1619534385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: PA MSG009038) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: DE MT-0003940) |
| 225700000X Massage Therapist (Licence: NJ 18KT00746600) | |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2019-05-28 |