| NPI | 1780421677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 27450) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TX MT125940) |
| Enumeration Date | 2024-07-09 |
| Last Update Date | 2024-07-09 |