| NPI | 1821487919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NJ 18KT0087100) |
| Additional Taxonomies | 225XP0019X Occupational Therapist, Physical Rehabilitation |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2021-12-14 |