| NPI | 1952921595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: TX MT134232) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: SC 11054) |
| Enumeration Date | 2020-04-23 |
| Last Update Date | 2022-02-25 |