| NPI | 1356551824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301013552) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2012-11-19 |