| NPI | 1942787007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: UT 5545539-4701) |
| Additional Taxonomies | 174H00000X Health Educator (Licence: UT 22637) |
| Enumeration Date | 2018-07-22 |
| Last Update Date | 2018-07-22 |