| NPI | 1467787945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NC 09761) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2009-10-16 |
| Last Update Date | 2010-11-11 |