| NPI | 1831291475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: SC 3637) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WV 2005-1799) |
| Enumeration Date | 2006-09-03 |
| Last Update Date | 2013-03-04 |