| NPI | 1265712087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: TX MT105828) |
| Additional Taxonomies | 171W00000X Contractor (Licence: TX MT105828) |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2023-07-24 |