| NPI | 1235096793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA108489) |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty (Licence: FL 127218) |
| Enumeration Date | 2026-01-07 |
| Last Update Date | 2026-01-07 |