| NPI | 1972816908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: WA P1 60071453) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA 60612444) |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2021-02-09 |