| NPI | 1417960899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: ID OT-240) |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2012-07-02 |