| NPI | 1700276078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NY 026375) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 026375-1) |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2019-06-06 |