| NPI | 1679203996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: IN 21806385) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TN 9911) |
| 225700000X Massage Therapist (Licence: NC 3181) | |
| Enumeration Date | 2022-06-11 |
| Last Update Date | 2022-06-11 |