| NPI | 1912418518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: LA LA2024) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: LA 2024) |
| Enumeration Date | 2017-10-23 |
| Last Update Date | 2017-10-23 |