| NPI | 1497340863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: TX 121987) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MO 2003016478) |
| Enumeration Date | 2021-03-07 |
| Last Update Date | 2021-03-07 |