| NPI | 1124312459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OH 33.010512 E-G) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.1300313-CR) |
| Enumeration Date | 2011-06-03 |
| Last Update Date | 2015-11-05 |