| NPI | 1861737025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: WA 60046677) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA 60453128) |
| Enumeration Date | 2012-11-29 |
| Last Update Date | 2014-09-25 |