| NPI | 1679275168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: SC 13127) |
| 225700000X Massage Therapist (Licence: AL 5461) | |
| Enumeration Date | 2023-03-20 |
| Last Update Date | 2023-03-20 |