| NPI | 1336370063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MA 005) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA47545) |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2009-07-29 |