| NPI | 1083288484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: TX Mt134019) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CA 72673) |
| Enumeration Date | 2021-05-19 |
| Last Update Date | 2021-05-19 |