| NPI | 1639902281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: UT 9345799-2402) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: UT 9345799-4701) |
| Enumeration Date | 2024-08-20 |
| Last Update Date | 2025-11-06 |