| NPI | 1346563467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: RI MT00968) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: RI AT00283) |
| Enumeration Date | 2010-03-03 |
| Last Update Date | 2024-11-12 |