| NPI | 1548533250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NJ 26BT00363000) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: ME MT152) |
| Enumeration Date | 2012-02-13 |
| Last Update Date | 2012-02-28 |