| NPI | 1629660493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: HI MAT-14819) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MAT-14819) |
| Enumeration Date | 2021-02-03 |
| Last Update Date | 2021-02-03 |