| NPI | 1649544495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: TX 116710) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 17815) |
| Enumeration Date | 2012-02-25 |
| Last Update Date | 2013-04-05 |