| NPI | 1922209584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: SC 2623) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: SC 598) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2025-09-11 |