| NPI | 1285758193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 18915) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA27626) |
| Enumeration Date | 2007-03-17 |
| Last Update Date | 2013-11-27 |