| NPI | 1790121218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NY 27-024996) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 27-024996) |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2023-04-19 |