| NPI | 1013227560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MI 7501000286) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MI 530489-07) |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2016-08-22 |