| NPI | 1750991642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MI 7501004469) |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2020-08-05 |