| NPI | 1811391873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: MT OTP-OTA-LIC-1153) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MT LMT-LMT-LIC-20047) |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2023-04-11 |