| NPI | 1033551015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: ID MAS-732) |
| Additional Taxonomies | 261QS1000X Clinic/Center, Student Health (Licence: ID 820290701) |
| Enumeration Date | 2013-07-19 |
| Last Update Date | 2013-07-19 |