| NPI | 1700149952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MO 2008011831) |
| Additional Taxonomies | 174400000X Specialist (Licence: MO 2008011831) |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2012-09-21 |