| NPI | 1134564248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: TX 113055) |
| Additional Taxonomies | 172M00000X Mechanotherapist (Licence: TX 110355) |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2013-08-28 |