| NPI | 1851876668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NC 16705) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CA 74195) |
| 225700000X Massage Therapist (Licence: UT 9894206-4701) | |
| Enumeration Date | 2018-09-27 |
| Last Update Date | 2018-09-27 |