| NPI | 1790800860 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA0020616) | 
| Additional Taxonomies | 171100000X Acupuncturist (Licence: FL AP1149) | 
| Enumeration Date | 2007-03-20 | 
| Last Update Date | 2025-09-11 |