| NPI | 1639644511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner (Licence: VA 0019011982) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: VA 0019011982) |
| Enumeration Date | 2018-10-08 |
| Last Update Date | 2019-09-23 |