| NPI | 1780901959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA 14848) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA41682) |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2016-03-14 |