| NPI | 1114307410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: CO 0016805) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CO 0016805) |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2015-06-02 |