| NPI | 1659601144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA81570) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: 11333) |
| Enumeration Date | 2010-01-05 |
| Last Update Date | 2022-01-04 |