| NPI | 1699027276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OH 33.023292) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OH 5644) |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2024-02-05 |