| NPI | 1831415512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: VA 0019007580) |
| Additional Taxonomies | 174400000X Specialist (Licence: VA 0019007580) |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2019-02-21 |