| NPI | 1538838289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: IA 109624) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: IA 000837) |
| Enumeration Date | 2021-09-07 |
| Last Update Date | 2021-09-07 |