| NPI | 1811237993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: SC 3159) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: SC 6647) |
| Enumeration Date | 2013-02-26 |
| Last Update Date | 2013-02-26 |