| NPI | 1255348892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL 16878) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL ma16878) |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2020-07-16 |