| NPI | 1003049552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: LA LA4123) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: LA LA4123) |
| Enumeration Date | 2009-09-01 |
| Last Update Date | 2011-09-14 |