| NPI | 1689160590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: TX MT127880) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NM 8689) |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2023-02-22 |