| NPI | 1023480332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA79055) |
| Additional Taxonomies | 171W00000X Contractor (Licence: FL MA79055) |
| Enumeration Date | 2015-10-26 |
| Last Update Date | 2021-04-02 |