| NPI | 1811347842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NC 18059) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 0277581) |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2023-07-12 |