| NPI | 1356713887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OH OB33017516) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: IN MT20901128) |
| Enumeration Date | 2015-10-23 |
| Last Update Date | 2016-02-13 |