| NPI | 1104361443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: PR 0801) |
| Additional Taxonomies | 173C00000X Reflexologist (Licence: PR 0801) |
| 247200000X Technician, Other (Licence: PR 0801) | |
| 246Z00000X Specialist/Technologist, Other (Licence: PR 0801) | |
| Enumeration Date | 2016-12-22 |
| Last Update Date | 2016-12-22 |