| NPI | 1174392146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MT LMT-LMT-LIC-12419) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MT BBH-SWLC-LIC-87746) |
| Enumeration Date | 2024-01-01 |
| Last Update Date | 2026-02-16 |