| NPI | 1851678627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MA 7835) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 015572) |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2011-11-08 |