| NPI | 1568797397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OH 33-009794-S) |
| Additional Taxonomies | 172M00000X Mechanotherapist (Licence: OH 33-009794-S) |
| Enumeration Date | 2009-10-13 |
| Last Update Date | 2009-10-13 |