| NPI | 1174974901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA74076) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2019-08-09 |