| NPI | 1902627599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171400000X |
| Additional Taxonomies | 174H00000X Health Educator |
| 225700000X Massage Therapist (Licence: TX 040245) | |
| Enumeration Date | 2024-10-17 |
| Last Update Date | 2024-10-17 |