| NPI | 1316170384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: VA 0131000076) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: VA 0019009488) |
| Enumeration Date | 2009-08-25 |
| Last Update Date | 2025-01-17 |