| NPI | 1770873291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: VA 0019008942) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: DC MT1472) |
| 225700000X Massage Therapist (Licence: CA 12315) | |
| 225700000X Massage Therapist (Licence: MD M04369) | |
| Enumeration Date | 2011-04-18 |
| Last Update Date | 2011-04-18 |