| NPI | 1013796622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: ID 5061775) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TX MT029533) |
| Enumeration Date | 2023-09-22 |
| Last Update Date | 2024-11-24 |