| NPI | 1962097048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: AZ 30601) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: GA MT012275) |
| Enumeration Date | 2021-03-01 |
| Last Update Date | 2025-05-23 |