| NPI | 1114297702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA60258497) |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2022-08-22 |