| NPI | 1528338241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: FL PTA27235) |
| 225700000X Massage Therapist (Licence: FL MA61570) | |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2025-07-30 |