| NPI | 1740929470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: 028678-1) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 028678-1) |
| Enumeration Date | 2022-06-01 |
| Last Update Date | 2022-06-01 |