| NPI | 1750997128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: RI Mt02478) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MA 11726) |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2020-09-21 |