| NPI | 1669813903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2024-04-11 |