NPI | 1154599017 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 172M00000X Mechanotherapist (Licence: VT 164.0000684) |
Additional Taxonomies | 171400000X Health & Wellness Coach |
172M00000X Mechanotherapist (Licence: OR 11050) | |
Enumeration Date | 2008-02-13 |
Last Update Date | 2021-11-10 |