| NPI | 1952688335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: TX MT118746) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: TX 210088) |
| Enumeration Date | 2011-11-13 |
| Last Update Date | 2019-12-20 |