| NPI | 1760109771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MI 7501009029) |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2022-10-21 |
| Last Update Date | 2022-10-21 |