| NPI | 1033448832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: WA P1 60111033) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA60317301) |
| Enumeration Date | 2009-12-08 |
| Last Update Date | 2023-04-24 |