| NPI | 1700377017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MD M05925) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: DC MT2389) |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2018-05-22 |