| NPI | 1104900331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: SC 1931) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: SC MAS . 3908) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2007-07-08 |