| NPI | 1083878573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NJ 26BT00010300) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 0146917-1) |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2010-11-18 |