| NPI | 1457734204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MI 7501001380) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2024-10-29 |