| NPI | 1659186310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA107475) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NJ 18KT01031600) |
| Enumeration Date | 2025-02-10 |
| Last Update Date | 2025-08-04 |