| NPI | 1669045191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: PA MSG014199) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: VA 0019018358) |
| 225700000X Massage Therapist (Licence: DC MT2000029) | |
| Enumeration Date | 2021-07-22 |
| Last Update Date | 2021-07-22 |