| NPI | 1699227637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MT LMT-LMT-LIC-9980) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: IL 227.018707) |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2016-10-25 |