| NPI | 1801053392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA41764) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW11421) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2019-02-02 |