| NPI | 1245546217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL 23329) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: ma45882) |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2019-05-30 |