| NPI | 1831421296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MT LMT-LMT-LIC-6080) |
| Additional Taxonomies | 174400000X Specialist (Licence: MT LMT-MLT-LIC-6080) |
| Enumeration Date | 2010-02-09 |
| Last Update Date | 2018-03-17 |