| NPI | 1235503996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MA 9747) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NH 2188M) |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2015-11-18 |