| NPI | 1477049377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: KY 240639) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OH 33.024006) |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2018-07-03 |