| NPI | 1003054842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: SC 1607) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 634) |
| Enumeration Date | 2009-02-02 |
| Last Update Date | 2009-02-02 |