| NPI | 1487986030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: UT 5009964-4701) |
| Additional Taxonomies | 172M00000X Mechanotherapist (Licence: UT 5009964-4701) |
| Enumeration Date | 2010-02-08 |
| Last Update Date | 2010-02-08 |