| NPI | 1063720696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: SD 0025) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: SD 882) |
| Enumeration Date | 2010-09-16 |
| Last Update Date | 2010-09-16 |