| NPI | 1629308317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: HI MAT 4281) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: HI MAE 1202) |
| Enumeration Date | 2010-01-03 |
| Last Update Date | 2010-01-03 |