| NPI | 1003049586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: UT 6149567-4701) |
| Additional Taxonomies | 174400000X Specialist (Licence: HI 10378) |
| Enumeration Date | 2009-08-31 |
| Last Update Date | 2020-11-22 |