| NPI | 1326262510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: GA 1761) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TN 5178) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2007-08-06 |