| NPI | 1710347034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: HI MAT17219) |
| Additional Taxonomies | 133VN1006X Dietitian, Registered Nutrition, Metabolic |
| Enumeration Date | 2016-02-29 |
| Last Update Date | 2025-06-30 |