| NPI | 1164960548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: DC 1998) |
| Additional Taxonomies | 174H00000X Health Educator |
| 225700000X Massage Therapist (Licence: MA 1392) | |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2017-02-06 |