| NPI | 1124452768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NY 026641) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CT 29.005331) |
| Enumeration Date | 2013-08-31 |
| Last Update Date | 2013-08-31 |