| NPI | 1245573583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OK 172582) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TX MT103888) |
| Enumeration Date | 2013-04-05 |
| Last Update Date | 2019-05-21 |