| NPI | 1285882290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CT 00735) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: CT 000989) |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2016-03-21 |