| NPI | 1750038923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WI 10578-246) |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2022-03-07 |
| Last Update Date | 2022-03-07 |