| NPI | 1922725878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MO 2022035243) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TX MT102864) |
| Enumeration Date | 2022-10-21 |
| Last Update Date | 2022-10-21 |