| NPI | 1952635104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NC 17384) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA54516) |
| Enumeration Date | 2009-09-21 |
| Last Update Date | 2019-03-13 |