| NPI | 1295088649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: OR 452921) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA60317012) |
| Enumeration Date | 2012-10-23 |
| Last Update Date | 2022-08-27 |