| NPI | 1174809727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: TN 1019) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TN 9616) |
| Enumeration Date | 2011-10-27 |
| Last Update Date | 2019-01-02 |