| NPI | 1962007096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MD R02519) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: VA 0019015415) |
| Enumeration Date | 2020-12-04 |
| Last Update Date | 2020-12-04 |