| NPI | 1467984278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NC 2358) |
| Additional Taxonomies | 172M00000X Mechanotherapist (Licence: NC 2358) |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2017-03-30 |