| NPI | 1366747727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2182567) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TX MT111469) |
| Enumeration Date | 2011-01-17 |
| Last Update Date | 2024-11-24 |