| NPI | 1619116050 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NH 1370M) | 
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services (Licence: NH 1370M) | 
| Enumeration Date | 2009-02-09 | 
| Last Update Date | 2009-02-09 |