| NPI | 1932370228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WI 3689046) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TX MT030236) |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2008-03-14 |