| NPI | 1396458246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: TX MT122262) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TX MT12262) |
| Enumeration Date | 2023-01-05 |
| Last Update Date | 2023-01-05 |