| NPI | 1437638749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NC 12165) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: NC 12165) |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2018-08-08 |