| NPI | 1043592710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: WA OC 60340886) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA 00014830) |
| Enumeration Date | 2011-09-19 |
| Last Update Date | 2013-12-13 |