| NPI | 1770815813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA11093) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA35505) |
| Enumeration Date | 2010-01-30 |
| Last Update Date | 2010-01-30 |