| NPI | 1174991426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CT 003099) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 027966-1) |
| 225700000X Massage Therapist (Licence: RI MT01602) | |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2015-09-03 |