| NPI | 1306099668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: GA MT003930) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA22667) |
| Enumeration Date | 2008-10-30 |
| Last Update Date | 2008-10-30 |