| NPI | 1558501338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2030575) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TX MT029946) |
| Enumeration Date | 2009-03-06 |
| Last Update Date | 2009-03-06 |