| NPI | 1265959878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: TN 10348) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: KY BMTMTH00194970) |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2017-08-24 |