| NPI | 1215692124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MS 2565) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TX MT135358) |
| Enumeration Date | 2021-11-04 |
| Last Update Date | 2025-02-13 |