| NPI | 1417226218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NY 024584) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MA 7568) |
| 225700000X Massage Therapist (Licence: TX 018236) | |
| Enumeration Date | 2011-12-22 |
| Last Update Date | 2011-12-22 |