| NPI | 1295145027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: TX 119469) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CA 91543) |
| Enumeration Date | 2014-05-01 |
| Last Update Date | 2020-08-29 |