| NPI | 1629475967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: UT 5044485-4201) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: UT 5044485-4701) |
| Enumeration Date | 2014-12-02 |
| Last Update Date | 2019-01-23 |