| NPI | 1720614159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NJ 18KT00767200) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: PA MSG009072) |
| Enumeration Date | 2020-03-17 |
| Last Update Date | 2024-09-13 |