| NPI | 1528314267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: HI MATT 3913) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: HI matt3913) |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2012-07-31 |