| NPI | 1700280724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CA 54225) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CO 0013398) |
| 225700000X Massage Therapist (Licence: HI 13804) | |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2014-10-20 |