| NPI | 1902412141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MT LMT-LMT-LIC-17904) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: UT 260024-4701) |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2020-09-22 |