| NPI | 1376895540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: FL 17463) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA67664) |
| Enumeration Date | 2012-10-11 |
| Last Update Date | 2016-01-05 |