NPI | 1972818839 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: VA 0019015620) |
Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: VA 2306001176) |
Enumeration Date | 2010-08-16 |
Last Update Date | 2024-11-05 |