| NPI | 1962015198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA82429) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CA 96763) |
| Enumeration Date | 2020-08-27 |
| Last Update Date | 2020-08-27 |