| NPI | 1780292136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: AK 150512) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: AK 2183165) |
| Enumeration Date | 2020-07-21 |
| Last Update Date | 2023-11-14 |