| NPI | 1093142440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: KY 5002) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OH 11166) |
| Enumeration Date | 2013-10-01 |
| Last Update Date | 2013-10-07 |