NPI | 1508358029 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA00016887) |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: WA P160047570) |
Enumeration Date | 2018-05-31 |
Last Update Date | 2018-05-31 |