| NPI | 1821166893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60156040) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA00015317) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2011-01-07 |