| NPI | 1275655482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT10451) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA29727) |
| 225X00000X Occupational Therapist (Licence: GA OT003627) | |
| 247200000X Technician, Other | |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2019-09-06 |