| NPI | 1821278532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: TX MT028550) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX MT028550) |
| 173C00000X Reflexologist (Licence: TX MT028550) | |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2008-04-02 |