| NPI | 1902142557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA53044) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TX MT106208) |
| Enumeration Date | 2012-12-28 |
| Last Update Date | 2012-12-28 |