| 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 |