| NPI | 1063244895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: TX MT145875) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA101355) |
| Enumeration Date | 2024-08-19 |
| Last Update Date | 2025-07-08 |