| NPI | 1508640939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: TX MT117008) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MT117008) |
| Enumeration Date | 2023-08-24 |
| Last Update Date | 2023-08-24 |