NPI | 1326775065 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: NJ 18kt00758800) |
Additional Taxonomies | 171400000X Health & Wellness Coach |
2255A2300X Specialist/Technologist, Athletic Trainer | |
226300000X Kinesiotherapist | |
Enumeration Date | 2022-08-03 |
Last Update Date | 2022-08-03 |