| NPI | 1609103118 |
|---|---|
| Former Name | HEATHER DAWN BURNETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NY 022328) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 27022328) |
| Enumeration Date | 2009-11-05 |
| Last Update Date | 2022-01-20 |