NPI | 1821391897 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: MT 1039) |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MT 7693) |
Enumeration Date | 2010-12-14 |
Last Update Date | 2015-01-27 |