| NPI | 1417556937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: UT 13151435-4701) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MA 9125) |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2023-08-21 |