| NPI | 1144696949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NH 1219M) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NH 2773) |
| Enumeration Date | 2015-08-15 |
| Last Update Date | 2015-08-15 |