| NPI | 1629342167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA 44605) |
| Additional Taxonomies | 174H00000X Health Educator (Licence: FL 513873) |
| Enumeration Date | 2012-03-01 |
| Last Update Date | 2012-03-01 |