| NPI | 1821585076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NY 009469-1) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 009469) |
| Enumeration Date | 2018-04-13 |
| Last Update Date | 2018-04-13 |