| NPI | 1225689565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NC 17514) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA79807) |
| Enumeration Date | 2019-09-27 |
| Last Update Date | 2019-09-27 |