| NPI | 1821320698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: ID OTA1109) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: ID M-09-020) |
| Enumeration Date | 2010-02-04 |
| Last Update Date | 2015-01-22 |