| NPI | 1174093819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: DC MT2344) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: PA MSG009998) |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2018-11-26 |