| NPI | 1093185969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: SC 9742) |
| Additional Taxonomies | 183700000X Pharmacy Technician |
| 225200000X Physical Therapy Assistant (Licence: SC 3790) | |
| Enumeration Date | 2015-10-04 |
| Last Update Date | 2020-03-24 |