NPI | 1376010280 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CO OT.0009070) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: CO MT.0016556) |
Enumeration Date | 2018-10-29 |
Last Update Date | 2025-09-17 |