| NPI | 1801940390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CO 0023819) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-11-20 |