| NPI | 1043447923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: TN 8828) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NV 187) |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2012-02-13 |