| NPI | 1750998258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MD M06967) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: DC MT2520) |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2025-09-23 |