| NPI | 1467644856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA18278) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL MA#0018278) |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2025-12-01 |