| NPI | 1336280791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: FL SW6332) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA5133) |
| 225X00000X Occupational Therapist (Licence: FL OT107) | |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2007-07-09 |