| NPI | 1689277402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA54993) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY MA54993) |
| Enumeration Date | 2020-11-17 |
| Last Update Date | 2020-11-17 |