| NPI | 1912294679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NV Nvmt.4018) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2025-01-11 |