| NPI | 1720287279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: UT 14082198-4701) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 12576) |
| Enumeration Date | 2007-07-15 |
| Last Update Date | 2025-02-04 |