| NPI | 1548831779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: TX MT135251) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MO 2021016587) |
| Enumeration Date | 2021-07-08 |
| Last Update Date | 2021-07-08 |