| NPI | 1447380076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: PA RT005733) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: PA MSG008819) |
| 225700000X Massage Therapist (Licence: DE MT-0003830) | |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2014-08-25 |