| NPI | 1528262300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA41831) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 010837-1) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2010-12-02 |