| NPI | 1043560469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MT NO.1900) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MT 1900) |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2012-10-31 |