| NPI | 1780448225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: TN 14533) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NC 19702) |
| Enumeration Date | 2024-02-06 |
| Last Update Date | 2024-02-06 |