| NPI | 1649435454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NH 3588M) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 020140) |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2011-06-20 |