| NPI | 1679351779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: UT 14232820-4701) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NV 8325) |
| Enumeration Date | 2023-09-19 |
| Last Update Date | 2025-10-01 |