| NPI | 1710582218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: HI MAT-6828) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: HI 6828) |
| Enumeration Date | 2020-12-02 |
| Last Update Date | 2020-12-02 |