| NPI | 1831901222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OH 33.027183) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WV 2024-4165) |
| Enumeration Date | 2025-01-22 |
| Last Update Date | 2025-01-22 |