| NPI | 1588007868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: FL 12297) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL 51063) |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2013-04-16 |