| NPI | 1871001040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: AR 8291) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OK 157156) |
| Enumeration Date | 2018-01-22 |
| Last Update Date | 2018-01-22 |