| NPI | 1114520053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: VA 0019001314) |
| Additional Taxonomies | 225A00000X Music Therapist |
| 247000000X Technician, Health Information | |
| Enumeration Date | 2020-11-20 |
| Last Update Date | 2020-11-20 |