| NPI | 1548854953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MI 7501010439) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA55302) |
| Enumeration Date | 2021-02-25 |
| Last Update Date | 2021-02-25 |