| NPI | 1801484365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: HI 16506) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: AK 164846) |
| Enumeration Date | 2021-01-08 |
| Last Update Date | 2021-01-08 |