| NPI | 1538608344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MA 14334) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: MA 2744) |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2017-02-14 |