| NPI | 1346707775 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 225700000X Massage Therapist (Licence: TX MT137618) | 
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation (Licence: TX MT137618) | 
| Enumeration Date | 2019-02-21 | 
| Last Update Date | 2023-07-21 |