| NPI | 1932456118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CA 27909) |
| Additional Taxonomies | 2251E1200X Physical Therapist, Ergonomics (Licence: CA 27909) |
| 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: CA 27909) | |
| 225600000X Dance Therapist (Licence: CA 27909) | |
| 226300000X Kinesiotherapist (Licence: CA 27909) | |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2012-08-07 |