| NPI | 1982907036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: TX MT040151) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OK 101774) |
| Enumeration Date | 2010-12-13 |
| Last Update Date | 2021-02-24 |