| NPI | 1699174110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: RI MT00928) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MA 6535) |
| Enumeration Date | 2014-08-20 |
| Last Update Date | 2014-08-20 |