| NPI | 1881941839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OH 33.019522) |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2023-11-30 |