| NPI | 1710426937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NJ 18KT01241900) |
| Additional Taxonomies | 133N00000X Nutritionist |
| 133NN1002X Nutritionist, Nutrition, Education | |
| 172M00000X Mechanotherapist | |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2018-04-11 |