| NPI | 1811208929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MT 433) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MT C189163) |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2011-08-18 |