| NPI | 1558819367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: DC 1407) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: VA 19013663) |
| 225700000X Massage Therapist (Licence: MD R02274) | |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2016-09-21 |