| NPI | 1164797239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MA 10240) |
| Additional Taxonomies | 174400000X Specialist (Licence: MA 10240) |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2019-10-31 |