| NPI | 1508647090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: GA MT005624) |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| 225700000X Massage Therapist (Licence: FL MA97449) | |
| Enumeration Date | 2023-10-10 |
| Last Update Date | 2023-10-10 |