| NPI | 1891187506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: HI 13598) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: RI 1458) |
| Enumeration Date | 2015-03-04 |
| Last Update Date | 2015-03-04 |