| NPI | 1376015438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: TX MT107685) |
| Additional Taxonomies | 173C00000X Reflexologist (Licence: TX MT107685) |
| 174400000X Specialist (Licence: TX MT107685) | |
| 225400000X Rehabilitation Practitioner (Licence: TX MT107685) | |
| 251E00000X Home Health (Licence: TX MT107685) | |
| Enumeration Date | 2018-12-28 |
| Last Update Date | 2018-12-28 |