| NPI | 1750196069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MI 22271100922) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MI 23137040501) |
| Enumeration Date | 2025-02-12 |
| Last Update Date | 2025-02-12 |