| NPI | 1578903779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA 55259) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MM 30813) |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2013-07-02 |