| NPI | 1699693358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: GA MT015461) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: AZ MT-28333) |
| Enumeration Date | 2026-07-08 |
| Last Update Date | 2026-07-08 |