| NPI | 1740941210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NJ 18KT01417100) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: PA MSG013798) |
| Enumeration Date | 2022-01-06 |
| Last Update Date | 2022-01-06 |