| NPI | 1952651929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2010013) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TX MT023644) |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2012-09-20 |