| NPI | 1417596370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner (Licence: VA 0019015698) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: VA 0019015698) |
| 146N00000X Emergency Medical Technician, Basic (Licence: VA B201400441) | |
| Enumeration Date | 2019-12-24 |
| Last Update Date | 2021-04-07 |