| NPI | 1902083678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: 530475-07) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: VA 0019007906) |
| Enumeration Date | 2008-01-24 |
| Last Update Date | 2010-10-05 |