| NPI | 1164994588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: MI 5201003917) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MI 7501001926) |
| Enumeration Date | 2018-12-24 |
| Last Update Date | 2018-12-24 |