| NPI | 1780438556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MI 7501015729) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA103963) |
| Enumeration Date | 2024-04-16 |
| Last Update Date | 2024-04-16 |