| NPI | 1215320676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NH 3654) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: ME MT4530) |
| Enumeration Date | 2015-03-10 |
| Last Update Date | 2015-03-10 |