| NPI | 1558728386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: VA 0019009942) |
| 174400000X Specialist (Licence: VA 1264001547) | |
| Enumeration Date | 2016-01-25 |
| Last Update Date | 2022-09-24 |