| NPI | 1619661212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MI 7501016061) |
| Enumeration Date | 2023-06-06 |
| Last Update Date | 2024-02-08 |