| NPI | 1710727391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NC 19348) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: PA 008439) |
| Enumeration Date | 2024-05-30 |
| Last Update Date | 2024-05-30 |