| NPI | 1821874405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: GA 009533) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: SC 9661) |
| Enumeration Date | 2023-09-07 |
| Last Update Date | 2023-09-07 |