| NPI | 1861795767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OH 33.015709) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: GA MT005120) |
| Enumeration Date | 2010-12-15 |
| Last Update Date | 2010-12-15 |