| NPI | 1447623012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: AK 104002) |
| Additional Taxonomies | 172M00000X Mechanotherapist (Licence: ZZ 006369) |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2023-08-24 |