| NPI | 1740552876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: AL 2547) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NM 6406) |
| 225700000X Massage Therapist (Licence: GA 007561) | |
| Enumeration Date | 2012-02-06 |
| Last Update Date | 2013-07-03 |