| NPI | 1932599339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172M00000X Mechanotherapist |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| 2255A2300X Specialist/Technologist, Athletic Trainer | |
| Enumeration Date | 2015-01-23 |
| Last Update Date | 2015-01-23 |