| NPI | 1205112950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA 46971) |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education (Licence: FL MA 46971) |
| Enumeration Date | 2011-10-26 |
| Last Update Date | 2011-10-26 |