| NPI | 1508741372 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MT 9083) |
| Additional Taxonomies | 101Y00000X Counselor |
| 174H00000X Health Educator | |
| Enumeration Date | 2025-08-09 |
| Last Update Date | 2025-08-09 |