| NPI | 1184059347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: ID MASG-1608) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 13897) |
| Enumeration Date | 2013-09-06 |
| Last Update Date | 2013-09-06 |