| NPI | 1861055600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: TX MT039868) |
| Additional Taxonomies | 174H00000X Health Educator |
| 222Q00000X Developmental Therapist | |
| 225XP0019X Occupational Therapist Physical Rehabilitation | |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2023-01-05 |