| NPI | 1912225517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: TX MT109895) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: IL 227.005780) |
| 225700000X Massage Therapist | |
| Enumeration Date | 2010-05-07 |
| Last Update Date | 2010-05-07 |