| NPI | 1619231610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: CO 12837) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CO 0025604) |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2023-03-21 |