| NPI | 1801613534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA100968) |
| 225700000X Massage Therapist (Licence: NJ 18KT01223900) | |
| Enumeration Date | 2024-09-24 |
| Last Update Date | 2024-09-24 |