| NPI | 1619674843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: AR 9293) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: AR OT2022-029) |
| Enumeration Date | 2023-02-08 |
| Last Update Date | 2024-03-07 |