| NPI | 1912377003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: TN 0000010870) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: AL 2660) |
| Enumeration Date | 2015-10-01 |
| Last Update Date | 2015-10-01 |