| NPI | 1689801003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: TX MT031281) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX MT031281) |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2010-12-02 |