| NPI | 1205996857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NM 2632) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NM 1943) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2007-07-09 |