| NPI | 1710404322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MI 7501011621) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TN 10253) |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2022-01-30 |