| NPI | 1942954797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA97298) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NC 19962) |
| 225700000X Massage Therapist (Licence: CA 67891) | |
| Enumeration Date | 2022-02-10 |
| Last Update Date | 2024-01-12 |