| NPI | 1790168771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA66807) |
| Additional Taxonomies | 101YP1600X Counselor Pastoral |
| 225700000X Massage Therapist | |
| 246RP1900X Technician, Pathology Phlebotomy | |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2015-07-08 |