| NPI | 1699900175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA20465) |
| Additional Taxonomies | 225800000X Recreation Therapist |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2026-03-17 |