| NPI | 1154899813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: TX MT119562) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TX MT018430) |
| Enumeration Date | 2018-11-10 |
| Last Update Date | 2018-11-10 |