| NPI | 1962150664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: HI MAT-15794) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: HI Pre-licenced) |
| Enumeration Date | 2022-03-13 |
| Last Update Date | 2024-04-26 |