| NPI | 1427164797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA60019060) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2008-07-17 |