| NPI | 1750650529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NV 5312) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL 30359) |
| Enumeration Date | 2011-12-22 |
| Last Update Date | 2011-12-22 |