| NPI | 1427504257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: TX MT134047) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: AK 101900) |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2022-06-22 |