| NPI | 1265874218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA10264) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA46099) |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2013-07-18 |