| NPI | 1841837861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: AZ 25536) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| 172M00000X Mechanotherapist | |
| Enumeration Date | 2019-12-09 |
| Last Update Date | 2024-03-26 |