| NPI | 1346019155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 94640) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CA 94640) |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2023-12-21 |
| Last Update Date | 2025-03-28 |