| NPI | 1700454238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: AZ 25582) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CA 63735) |
| Enumeration Date | 2021-06-11 |
| Last Update Date | 2021-06-11 |