| NPI | 1033449723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: SC 11073) |
| Additional Taxonomies | 172M00000X Mechanotherapist (Licence: FL ma57707) |
| Enumeration Date | 2010-01-04 |
| Last Update Date | 2020-01-27 |