| NPI | 1235579350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NH 2864M) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MA 9410) |
| Enumeration Date | 2013-07-03 |
| Last Update Date | 2013-07-03 |