| NPI | 1134717077 |
|---|---|
| Former Name | RACHEL STAUB |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2021-01-06 |
| Last Update Date | 2024-10-23 |