| NPI | 1790995199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA32716) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MM22797) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2013-02-19 |