| NPI | 1386885242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: GA MT005546) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: SC 6188) |
| Enumeration Date | 2009-03-23 |
| Last Update Date | 2009-03-23 |