| NPI | 1033413737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: UT 14174661-4701) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CO 10295) |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2024-09-18 |