| NPI | 1306291992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CO 0001365) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CO 0003031) |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2016-05-02 |