| NPI | 1598997769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: AK 109366) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CO 4507) |
| 225700000X Massage Therapist (Licence: FL 69798) | |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2016-08-25 |