| NPI | 1508134669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NY 005561-1) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 000846-1) |
| Enumeration Date | 2011-12-05 |
| Last Update Date | 2012-09-17 |