| NPI | 1578150868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: TX MT116713) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CA 81690) |
| Enumeration Date | 2020-12-21 |
| Last Update Date | 2020-12-21 |