| NPI | 1174288351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA97292) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: SC MAS12138) |
| 225700000X Massage Therapist (Licence: NC 16504) | |
| Enumeration Date | 2021-11-03 |
| Last Update Date | 2021-11-03 |