| NPI | 1437588654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: VA 2306602379) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: VA 0019018399) |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2022-01-21 |