| NPI | 1467959247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT61653345) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA60847359) |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2025-06-05 |