| NPI | 1538402649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NM 7430) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NM MT-2024-0025) |
| 225700000X Massage Therapist (Licence: FL MA106040) | |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2025-05-01 |