| NPI | 1578953600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: IL 160006059) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: IL 227005285) |
| Enumeration Date | 2015-01-27 |
| Last Update Date | 2015-01-27 |