| NPI | 1760222731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TX MT136504) |
| Enumeration Date | 2024-05-28 |
| Last Update Date | 2024-05-29 |