| NPI | 1356175277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: UT 13009973-4701) |
| Additional Taxonomies | 174400000X Specialist (Licence: UT 13009973-4701) |
| Enumeration Date | 2024-09-02 |
| Last Update Date | 2024-09-02 |