| NPI | 1285079780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IA OT131388) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: IA MA131383) |
| Enumeration Date | 2013-05-10 |
| Last Update Date | 2025-10-13 |