| NPI | 1528891553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: UT 11499140-4701) |
| Additional Taxonomies | 172M00000X Mechanotherapist (Licence: UT 11499140-4701) |
| 173C00000X Reflexologist (Licence: UT 11499140-4701) | |
| 208VP0000X Pain Medicine Pain Medicine (Licence: UT 11499140-4701) | |
| 226300000X Kinesiotherapist (Licence: UT 11499140-4701) | |
| Enumeration Date | 2024-08-23 |
| Last Update Date | 2024-08-23 |