| NPI | 1790457497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: AK 156537) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: AK 156937) |
| Enumeration Date | 2021-09-30 |
| Last Update Date | 2021-09-30 |