| NPI | 1235520487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: TX MT115020) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TX MI2830) |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2015-02-10 |