| NPI | 1700127479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NY 015703) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 005028) |
| 225700000X Massage Therapist (Licence: NC 16845) | |
| Enumeration Date | 2013-03-06 |
| Last Update Date | 2021-01-14 |