| NPI | 1225514342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: TX MT147772) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 18142) |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2025-10-15 |