| NPI | 1841016078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: TX 136647) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: LA 9035) |
| Enumeration Date | 2024-12-03 |
| Last Update Date | 2024-12-03 |