| NPI | 1972260925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: LA LA8505) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA97368) |
| Enumeration Date | 2021-11-24 |
| Last Update Date | 2021-11-24 |