| NPI | 1669108171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: AR 7729) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MO 2021010315) |
| Enumeration Date | 2022-07-27 |
| Last Update Date | 2022-07-27 |