| NPI | 1942179072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA106168) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MM47125) |
| Enumeration Date | 2025-11-05 |
| Last Update Date | 2025-11-05 |