| NPI | 1578730917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA28114) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 11945-1) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2008-05-14 |