| NPI | 1801206495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: MD A02120) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: VA 0019004447) |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2023-04-21 |