| NPI | 1548458599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NY 013890-1) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: 013890-1) |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2007-10-03 |