| NPI | 1598982217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NM S-246) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NM 3582) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2010-02-16 |