| NPI | 1437488756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: TX MT034610) |
| Additional Taxonomies | 225800000X Recreation Therapist (Licence: 48281) |
| Enumeration Date | 2009-12-16 |
| Last Update Date | 2010-02-08 |