| NPI | 1528670403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 81206) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TX MT102586) |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2020-08-20 |