| NPI | 1871978627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner (Licence: MT 1173) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MT 1173) |
| Enumeration Date | 2015-07-22 |
| Last Update Date | 2017-03-28 |