| NPI | 1730367376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NM 6292) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 10575) |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2012-03-02 |