| NPI | 1285665232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: ID MASG-218) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA44626) |
| 225700000X Massage Therapist (Licence: TX MT040994) | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2024-04-14 |