| NPI | 1457822694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: HI MAT-12462) |
| Additional Taxonomies | 173C00000X Reflexologist |
| 2251S0007X Physical Therapist, Sports (Licence: HI MAT-12462) | |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2018-12-16 |