| NPI | 1821684994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: TN 000013218) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TN 13218) |
| Enumeration Date | 2020-12-14 |
| Last Update Date | 2021-02-25 |