| NPI | 1821602152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: GA MT012232) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NV NVMT10404) |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2020-09-03 |