| NPI | 1669133922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: 26801) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 16801) |
| Enumeration Date | 2022-01-07 |
| Last Update Date | 2022-01-07 |