| NPI | 1417718107 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL 99037) | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health | 
| 225700000X Massage Therapist | |
| Enumeration Date | 2024-01-19 | 
| Last Update Date | 2024-01-23 |