| NPI | 1790425213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MT126417) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TX MT126417) |
| Enumeration Date | 2022-03-31 |
| Last Update Date | 2022-03-31 |