| NPI | 1326775065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NJ 18KT00758800) |
| Additional Taxonomies | 171400000X |
| 2255A2300X Specialist/Technologist Athletic Trainer | |
| 226300000X Kinesiotherapist | |
| Enumeration Date | 2022-08-03 |
| Last Update Date | 2022-08-03 |