| NPI | 1538451174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: HI 11571) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: HI MAT-11571) |
| Enumeration Date | 2011-05-13 |
| Last Update Date | 2021-07-19 |