| NPI | 1447499728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: TX 210335) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TX MT003584) |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2009-02-11 |