| NPI | 1154662575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NM 7075) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 5890) |
| Enumeration Date | 2013-03-11 |
| Last Update Date | 2016-10-10 |