| NPI | 1386785285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: LA LA036401) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TX MT005160) |
| 225700000X Massage Therapist (Licence: TX MTI01662) | |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2007-07-08 |