| NPI | 1033255732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MA 018521200601) |
| Additional Taxonomies | 174400000X Specialist (Licence: MA 6004100) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2015-11-19 |