| NPI | 1487323523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MT80098) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: VA 0019018368) |
| Enumeration Date | 2021-09-11 |
| Last Update Date | 2023-04-22 |