| NPI | 1700280765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174H00000X Health Educator (Licence: NC 2633) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NC NC2633) |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2014-11-17 |