| NPI | 1427471705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH 13154) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OH 33.021475) |
| 225700000X Massage Therapist (Licence: TN 6951) | |
| Enumeration Date | 2014-01-22 |
| Last Update Date | 2014-04-07 |