| NPI | 1720629033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: TX MT123216) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TX MY123216) |
| Enumeration Date | 2019-10-08 |
| Last Update Date | 2020-08-06 |