| NPI | 1922345511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: SC mas.2553) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: GA mt004843) |
| Enumeration Date | 2013-01-16 |
| Last Update Date | 2013-01-16 |