| NPI | 1437455060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 19447) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: HI MAT-11823) |
| 225700000X Massage Therapist (Licence: WA MA 60168181) | |
| Enumeration Date | 2011-01-29 |
| Last Update Date | 2012-11-30 |