| NPI | 1265969083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA14390) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA56508) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |