| NPI | 1124734090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: SC 10606) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA96259) |
| 225700000X Massage Therapist (Licence: TX MT135014) | |
| Enumeration Date | 2023-01-25 |
| Last Update Date | 2023-06-02 |