| NPI | 1053634568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: NM 1367) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0129621) |
| 225700000X Massage Therapist (Licence: NM 7960) | |
| Enumeration Date | 2010-03-11 |
| Last Update Date | 2019-04-11 |