| NPI | 1407095086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172M00000X Mechanotherapist |
| Additional Taxonomies | 225700000X Massage Therapist |
| 225XP0019X Occupational Therapist, Physical Rehabilitation | |
| Enumeration Date | 2009-02-05 |
| Last Update Date | 2011-04-29 |