| NPI | 1912461252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NM MT8626) |
| Additional Taxonomies | 111NR0400X (Licence: NM MT8626) |
| 172M00000X Mechanotherapist (Licence: NM MT8626) | |
| 173C00000X Reflexologist (Licence: NM MT8626) | |
| Enumeration Date | 2019-01-30 |
| Last Update Date | 2019-01-30 |