| NPI | 1841714292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NM 8941) |
| Additional Taxonomies | 246Z00000X Specialist/Technologist, Other (Licence: CLT) |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2022-08-26 |