| NPI | 1912559857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: AZ MT-22355) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MO 2012006451) |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2019-07-11 |