| NPI | 1780452193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: IN 22307949) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TX 118218) |
| 225700000X Massage Therapist (Licence: LA 5323) | |
| Enumeration Date | 2023-12-14 |
| Last Update Date | 2023-12-14 |