| NPI | 1447632609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA99521) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: SC 9626) |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2022-06-07 |