| NPI | 1295136364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: RI MT01848) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MA 9619-MT) |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2014-09-09 |