| NPI | 1992933501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MT 746) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA 56321) |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2014-06-16 |