| NPI | 1245653559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT2682) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA75411) |
| Enumeration Date | 2014-01-23 |
| Last Update Date | 2023-04-20 |