| NPI | 1164102224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA97223) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TN 12642) |
| Enumeration Date | 2023-07-24 |
| Last Update Date | 2023-07-24 |