| NPI | 1831529445 |
|---|---|
| Other Name | AUDRA GENDUSO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM CMH0216981) |
| 171W00000X Contractor (Licence: NM 4830) | |
| Enumeration Date | 2013-11-18 |
| Last Update Date | 2022-03-16 |