| NPI | 1205485851 |
|---|---|
| Former Name | LEILA MOURINO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2150058) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TX MT127712) |
| Enumeration Date | 2019-09-06 |
| Last Update Date | 2019-09-06 |