| NPI | 1215443668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: ID MAS) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MAS) |
| Enumeration Date | 2017-12-21 |
| Last Update Date | 2017-12-21 |