| NPI | 1982900338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: TX MT131622) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX MT108906) |
| Enumeration Date | 2011-02-02 |
| Last Update Date | 2022-11-29 |