| NPI | 1558131367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: UT 137257174701) |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2024-01-03 |
| Last Update Date | 2024-08-20 |