| NPI | 1376946707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA24179) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: KY 4648) |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2021-04-09 |