| NPI | 1780007351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 957) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 01371) |
| 225700000X Massage Therapist (Licence: SC 2395) | |
| Enumeration Date | 2014-02-01 |
| Last Update Date | 2014-02-01 |