| NPI | 1013280395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL 25408) |
| Additional Taxonomies | 175L00000X Homeopath (Licence: FL MA 53136) |
| 225700000X Massage Therapist (Licence: FL 53136) | |
| Enumeration Date | 2012-02-16 |
| Last Update Date | 2022-03-01 |