| NPI | 1053506394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NM LMT 2903) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0091361) |
| 173C00000X Reflexologist (Licence: NM 2903) | |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2008-06-10 |