| NPI | 1659681930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60662154) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 023779) |
| 225700000X Massage Therapist (Licence: IN MT21103971) | |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2021-06-01 |