| NPI | 1750630653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: SC 486) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: SC 486) |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2012-09-21 |