| NPI | 1922553163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CT 06886) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 27026198) |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2016-08-17 |