| NPI | 1558542050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: KY 4144) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA49201) |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2014-07-10 |