| NPI | 1033678198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: UT 10442838-4701) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: 10442838-4701) |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2019-03-18 |