| NPI | 1376796110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OH 33.010402) |
| Additional Taxonomies | 172M00000X Mechanotherapist (Licence: OH 33.010402) |
| Enumeration Date | 2008-10-24 |
| Last Update Date | 2008-10-24 |