| NPI | 1568868958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: TX AT5731) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TX MT101355) |
| Enumeration Date | 2014-11-12 |
| Last Update Date | 2014-11-12 |