| NPI | 1619398716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: PA MSG001854) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA36455) |
| Enumeration Date | 2013-12-17 |
| Last Update Date | 2013-12-17 |