| NPI | 1598199887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NM 2023-0192) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TX MT113777) |
| Enumeration Date | 2013-08-22 |
| Last Update Date | 2023-10-10 |