| 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 |