| NPI | 1851987101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA51617) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT10055) |
| Enumeration Date | 2020-12-20 |
| Last Update Date | 2020-12-20 |