| NPI | 1598911836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA14282) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL ma53488) |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2021-10-11 |