| NPI | 1891815288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 2964) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA 7355) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2007-07-08 |