| NPI | 1831510114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MA MT-14702) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 022625) |
| Enumeration Date | 2014-01-03 |
| Last Update Date | 2023-11-09 |