| NPI | 1215386990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: PA MSG003559) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2016-06-03 |