| NPI | 1811352438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: KY 5102) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TN 10349) |
| Enumeration Date | 2015-12-25 |
| Last Update Date | 2015-12-25 |