| NPI | 1891457461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CT 10423) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: CT 12053) |
| 225700000X Massage Therapist (Licence: MA 16731) | |
| Enumeration Date | 2021-10-11 |
| Last Update Date | 2021-10-11 |