| NPI | 1942929484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: AL 6029) |
| 225700000X Massage Therapist (Licence: GA MT014243) | |
| Enumeration Date | 2022-08-26 |
| Last Update Date | 2023-02-22 |