| NPI | 1992524425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: TX MT126885) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: TX 1231010287) |
| Enumeration Date | 2024-10-10 |
| Last Update Date | 2024-10-10 |