| NPI | 1407316235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AZ OTH-009135) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: AZ MT-24977) |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2025-08-29 |