| NPI | 1124288188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT 10000) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA 21996) |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2018-07-18 |