| NPI | 1679509574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OH 33012338) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OH OT004304) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2007-07-08 |