| NPI | 1316117914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: VA 0019008187) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 017500) |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2010-02-15 |