| NPI | 1295417087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MS 1346954211) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MS 1346954211) |
| Enumeration Date | 2023-08-02 |
| Last Update Date | 2023-08-02 |