| NPI | 1790310068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NC 16615) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WI 2422-146) |
| Enumeration Date | 2020-03-07 |
| Last Update Date | 2020-03-07 |