| NPI | 1578866489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NJ 18KT00260600) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: PA MSG004906) |
| 172M00000X Mechanotherapist | |
| Enumeration Date | 2010-12-15 |
| Last Update Date | 2025-10-31 |