| NPI | 1629361498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 7408) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: HI 11385) |
| Enumeration Date | 2011-05-26 |
| Last Update Date | 2011-05-26 |