| NPI | 1982144390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OH 7760) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S0017315) |
| Enumeration Date | 2017-03-03 |
| Last Update Date | 2022-08-11 |