| NPI | 1619628120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OH 33.025648) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA91731) |
| Enumeration Date | 2022-01-16 |
| Last Update Date | 2022-01-16 |