| NPI | 1871900712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL 720707) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MN 760195) |
| Enumeration Date | 2014-07-11 |
| Last Update Date | 2014-07-11 |