| NPI | 1720350085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: KY 107549) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: KY KY-0030) |
| Enumeration Date | 2012-02-02 |
| Last Update Date | 2019-02-27 |