| NPI | 1609234004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA-19140) |
| Additional Taxonomies | 225700000X Massage Therapist |
| 225700000X Massage Therapist (Licence: FL MA-99112) | |
| Enumeration Date | 2016-02-01 |
| Last Update Date | 2023-01-05 |