| NPI | 1578712667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NY 010117-1) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: 149318-00) |
| Enumeration Date | 2008-09-12 |
| Last Update Date | 2008-09-12 |