| NPI | 1952865966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NY 0247951) |
| Additional Taxonomies | 173C00000X Reflexologist (Licence: NY BO1373) |
| Enumeration Date | 2019-01-23 |
| Last Update Date | 2019-01-23 |