| NPI | 1841043031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: ID MAS-2489) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: UT 9542745-4701) |
| Enumeration Date | 2024-04-08 |
| Last Update Date | 2024-04-08 |