| NPI | 1225389687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: VA 0019000974) |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2019-12-12 |