| NPI | 1477792836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MA MT5251) |
| Additional Taxonomies | 174400000X Specialist (Licence: MA MT5251) |
| Enumeration Date | 2009-02-09 |
| Last Update Date | 2009-02-09 |