| NPI | 1639326473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: TN OTA268) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TN MT2336) |
| Enumeration Date | 2008-08-23 |
| Last Update Date | 2008-08-23 |