| NPI | 1104377902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA77148) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MM35786) |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2016-10-18 |