| NPI | 1235251984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: GA MT003853) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA33300) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2012-08-06 |