| NPI | 1699031344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: HI MAT-12728) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CA 16497) |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2012-04-06 |