| NPI | 1477935666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: SC 3219) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: SC 8287) |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2015-06-24 |