| NPI | 1639880610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MD M05441) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: VA 19004382) |
| Enumeration Date | 2022-12-09 |
| Last Update Date | 2022-12-09 |