| NPI | 1013635036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 80063) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TX 115339) |
| Enumeration Date | 2022-08-16 |
| Last Update Date | 2022-08-16 |