| NPI | 1902392343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 22044) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: HI 14101) |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2018-07-09 |