| NPI | 1619672789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: AK 177231) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CO 0014490) |
| Enumeration Date | 2023-03-30 |
| Last Update Date | 2023-03-30 |