| NPI | 1427633031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA 60411535) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: WA P161000977) |
| Enumeration Date | 2021-03-15 |
| Last Update Date | 2021-03-15 |