| NPI | 1487387015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NY 032989) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA74965) |
| Enumeration Date | 2022-07-01 |
| Last Update Date | 2022-07-01 |