| NPI | 1154665610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: TX ME2475) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TX MT112821) |
| Enumeration Date | 2012-11-21 |
| Last Update Date | 2012-11-21 |