| NPI | 1477714301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: AZ OTA-047020) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA00024812) |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2022-01-05 |