| NPI | 1346645710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NE 2700) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: IA 005978) |
| Enumeration Date | 2014-10-28 |
| Last Update Date | 2014-10-28 |