| NPI | 1366810137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: SC 4576) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: VA 0019005686) |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2015-09-09 |