| NPI | 1902124712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: HI 12680) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 12071) |
| Enumeration Date | 2010-05-04 |
| Last Update Date | 2015-07-27 |