| NPI | 1104253368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: SC 1540) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: SC 3457) |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2022-01-12 |