| NPI | 1275858706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA 60330731) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TX MT108713) |
| Enumeration Date | 2010-03-27 |
| Last Update Date | 2019-08-07 |