| NPI | 1801098637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: AZ 06666) |
| Additional Taxonomies | 174400000X Specialist (Licence: AZ 196648) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2010-12-16 |