| NPI | 1659870095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MT 6940) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MT 9922) |
| 225700000X Massage Therapist (Licence: WA 60768056) | |
| Enumeration Date | 2018-02-11 |
| Last Update Date | 2020-01-22 |