| NPI | 1831310192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT21568) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA41078) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2021-10-26 |