| NPI | 1548539752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA56206) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MM27808) |
| Enumeration Date | 2011-12-16 |
| Last Update Date | 2011-12-16 |