| NPI | 1689971384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: VA 0019009146) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA39484) |
| Enumeration Date | 2011-02-16 |
| Last Update Date | 2011-02-16 |