| NPI | 1124301809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: IL 227.014145) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: IL 160.005370) |
| Enumeration Date | 2011-09-20 |
| Last Update Date | 2023-11-01 |