| NPI | 1689771230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: TN 0000013128) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: TN ota0000000587) |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2020-10-05 |