| NPI | 1174037444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: VA 0019006819) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: VA 19006819) |
| Enumeration Date | 2017-11-25 |
| Last Update Date | 2018-07-17 |