| NPI | 1477844058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: UT 6286115-4701) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: HI MAT-11204) |
| Enumeration Date | 2011-04-29 |
| Last Update Date | 2011-04-29 |