| NPI | 1437341021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: AL 2284) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL 95649) |
| 225700000X Massage Therapist (Licence: FL MA95649) | |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2022-04-20 |