| NPI | 1487242822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA96401) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 029489) |
| 225700000X Massage Therapist (Licence: NJ 18KT01291500) | |
| Enumeration Date | 2020-12-31 |
| Last Update Date | 2020-12-31 |