| NPI | 1811431174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NM MT-2025-0188) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TX MT125497) |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2025-09-25 |