| NPI | 1164731972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OH 33.015126) |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2019-01-28 |