| NPI | 1851874572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2013561) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TX MT034133) |
| Enumeration Date | 2018-09-09 |
| Last Update Date | 2018-09-09 |