| NPI | 1720384738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: KY 0620) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 652310) |
| Enumeration Date | 2011-02-09 |
| Last Update Date | 2011-02-09 |