| NPI | 1619674363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA98773) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 032835-01) |
| Enumeration Date | 2023-02-13 |
| Last Update Date | 2023-02-13 |