| NPI | 1609313733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: WA P160984215) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA0001903) |
| 225700000X Massage Therapist (Licence: WA MA00019103) | |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2021-08-01 |