| NPI | 1629828785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: AK 101450) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CA 29214) |
| Enumeration Date | 2024-03-22 |
| Last Update Date | 2024-03-25 |