| NPI | 1639454168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MS MS929) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: LA LA3751) |
| Enumeration Date | 2011-10-16 |
| Last Update Date | 2011-10-16 |