| NPI | 1467170993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: TX 218087) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TX MT107543) |
| Enumeration Date | 2022-08-19 |
| Last Update Date | 2025-09-16 |