| NPI | 1881475739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA103597) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MI 7501016247) |
| Enumeration Date | 2023-10-06 |
| Last Update Date | 2025-11-19 |