| NPI | 1871990580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MD M02777) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: VA 0019004374) |
| 225700000X Massage Therapist (Licence: DC MT0507) | |
| Enumeration Date | 2014-11-24 |
| Last Update Date | 2014-11-24 |