| NPI | 1073869707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 19041) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MD 1113) |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2012-07-31 |