| NPI | 1669748448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: VA 0019008838) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: VA 583585-09) |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2012-03-27 |