| NPI | 1801091277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: TN 10420) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: AK 127526) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2024-10-03 |