| NPI | 1699361337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA66554) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NV NVMT9640) |
| Enumeration Date | 2020-12-16 |
| Last Update Date | 2020-12-16 |