| NPI | 1891247672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: TX MT131288) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 67712) |
| 225700000X Massage Therapist (Licence: IL 227016133) | |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2023-08-17 |