| NPI | 1104438886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: 003833-00) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TX MT004445) |
| Enumeration Date | 2020-08-23 |
| Last Update Date | 2020-08-23 |