| NPI | 1598155335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WI 13887-146) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: WI 729-39) |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2025-04-17 |