| NPI | 1760204010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: UT 11631966-4701) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OH 33.023572) |
| Enumeration Date | 2024-10-28 |
| Last Update Date | 2024-10-28 |