| NPI | 1548867625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: UT 11168202-4701) |
| Additional Taxonomies | 175F00000X Naturopath |
| 2255A2300X Specialist/Technologist, Athletic Trainer | |
| 133NN1002X Nutritionist, Nutrition, Education | |
| Enumeration Date | 2020-10-02 |
| Last Update Date | 2020-10-02 |