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 |