| NPI | 1821260613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: VA 0019019447) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NC 3050) |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2023-09-11 |