| NPI | 1053752410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT 15821) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA 46803) |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2020-06-02 |