| NPI | 1639475114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: TX MT109383) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OH 16731) |
| Enumeration Date | 2011-02-01 |
| Last Update Date | 2011-02-01 |