| NPI | 1821631474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: TN 8305) |
| Additional Taxonomies | 374K00000X (Licence: TN SG5HWCME) |
| 376K00000X Nurse's Aide (Licence: TN 86913) | |
| Enumeration Date | 2019-10-25 |
| Last Update Date | 2020-08-20 |