| NPI | 1407128762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MD M00896) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: DC MT83) |
| Enumeration Date | 2012-02-02 |
| Last Update Date | 2012-02-02 |