| NPI | 1366769440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: KY KY-3465) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OH 33.017830 A-B) |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2010-04-28 |