| NPI | 1700456613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NY 026926-1) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 026926) |
| Enumeration Date | 2021-07-01 |
| Last Update Date | 2021-07-01 |