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 |