| NPI | 1861939951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: AK 115496) |
| Additional Taxonomies | 405300000X Prevention Professional (Licence: AK 115496) |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2019-04-05 |