| NPI | 1184974289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: SC 12829) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: CA 1834) |
| Enumeration Date | 2012-09-16 |
| Last Update Date | 2023-04-20 |