| NPI | 1114323227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: AK 110809) |
| Additional Taxonomies | 174400000X Specialist (Licence: CO 16343) |
| Enumeration Date | 2014-11-17 |
| Last Update Date | 2019-11-12 |