| NPI | 1619080637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: TX MT016043) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 11768) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2025-09-11 |