| NPI | 1013502590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 26071) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TX 121066) |
| Enumeration Date | 2021-03-05 |
| Last Update Date | 2021-03-05 |