| NPI | 1356896146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: TX MT122235) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CA 29929) |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2016-08-22 |