| NPI | 1275288441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NJ 18KT01416500) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NJ 46TA09137100) |
| Enumeration Date | 2022-02-16 |
| Last Update Date | 2025-04-23 |