| NPI | 1760934269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NM 8434) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: HI 14180) |
| Enumeration Date | 2016-10-31 |
| Last Update Date | 2016-10-31 |