| NPI | 1992359665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: AK 211647) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 21626) |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2024-12-04 |