| NPI | 1659753754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NY 026100-1) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 007763-1) |
| 172M00000X Mechanotherapist (Licence: NY 026100-1) | |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2024-05-23 |