| NPI | 1346549342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MT 1) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NM 300) |
| Enumeration Date | 2011-03-16 |
| Last Update Date | 2011-03-16 |