| NPI | 1861860546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA60199202) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: HI MAT-11494) |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2015-09-11 |