| NPI | 1255670626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: SC 1063) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: GA MT002096) |
| Enumeration Date | 2013-02-05 |
| Last Update Date | 2013-02-13 |