| NPI | 1851661441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NC 10444) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 21694) |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2012-01-12 |