| NPI | 1023200425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 20001) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA36793) |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2025-09-25 |