| NPI | 1801454061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NH 7498) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: VA 0019004665) |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2019-06-11 |