| NPI | 1225633878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: TX 129576) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 029740-1) |
| 225700000X Massage Therapist (Licence: CA 74660) | |
| Enumeration Date | 2020-12-02 |
| Last Update Date | 2020-12-02 |