| NPI | 1417131269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA49020) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: LA LA2767) |
| 225700000X Massage Therapist (Licence: 334604-00) | |
| Enumeration Date | 2007-12-28 |
| Last Update Date | 2008-01-26 |