| NPI | 1356222541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA102060) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TX MT033548) |
| Enumeration Date | 2025-09-12 |
| Last Update Date | 2025-09-12 |