| NPI | 1083366835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MT LMT-LIC-11815) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TX MT046978) |
| Enumeration Date | 2022-01-24 |
| Last Update Date | 2022-01-24 |