| NPI | 1508015843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TN 3691) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TN 5565) |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2021-08-04 |