| NPI | 1831893932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: OR 9984) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 27818) |
| Enumeration Date | 2023-03-30 |
| Last Update Date | 2026-05-31 |