| NPI | 1568887446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: MO 000971) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MO 2001014126) |
| Enumeration Date | 2014-02-28 |
| Last Update Date | 2014-02-28 |