| NPI | 1861063539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NM 8991) |
| Additional Taxonomies | 174400000X Specialist (Licence: NM 8991) |
| Enumeration Date | 2021-07-05 |
| Last Update Date | 2024-08-14 |