| NPI | 1285925446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA3191) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL MA0003191) |
| Enumeration Date | 2011-04-22 |
| Last Update Date | 2014-05-19 |