| NPI | 1881132421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NJ 18KT00568000) |
| Additional Taxonomies | 172M00000X Mechanotherapist (Licence: NJ 18KT00568000) |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2017-02-02 |