| NPI | 1760173132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NC 20623) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: VA 0019018934) |
| Enumeration Date | 2023-05-17 |
| Last Update Date | 2023-05-17 |