| NPI | 1285962555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT 1465) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MT 785) |
| Enumeration Date | 2009-11-25 |
| Last Update Date | 2012-02-28 |