| NPI | 1033412416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: FL 13254) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL 44690) |
| Enumeration Date | 2010-12-07 |
| Last Update Date | 2015-05-04 |