| NPI | 1962651901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: TX MT127618) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TX MT031487) |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2023-08-04 |