| NPI | 1497265839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NC 22449) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NC A5872) |
| Enumeration Date | 2017-10-11 |
| Last Update Date | 2025-08-06 |