| NPI | 1588845853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NM 0072) |
| Additional Taxonomies | 174400000X Specialist (Licence: NM 0072) |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2018-06-12 |