| NPI | 1750047437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 26083) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: AZ MT-27195) |
| Enumeration Date | 2021-11-16 |
| Last Update Date | 2022-12-02 |