| NPI | 1982240107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NJ 18KT01039300) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: PA MSG013309) |
| Enumeration Date | 2019-11-22 |
| Last Update Date | 2020-01-21 |