| NPI | 1902350010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: TX MT133933) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NJ 18KT00740900) |
| Enumeration Date | 2016-08-05 |
| Last Update Date | 2026-02-19 |