| NPI | 1043935281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: TX MT134181) |
| Additional Taxonomies | 171W00000X Contractor |
| 225700000X Massage Therapist | |
| 225700000X Massage Therapist | |
| Enumeration Date | 2022-10-10 |
| Last Update Date | 2022-10-10 |