| NPI | 1275185910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA90137) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL 90137) |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2019-07-12 |