| NPI | 1871125310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: SC 5725) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: SC 9289) |
| 225700000X Massage Therapist (Licence: NC 14849) | |
| 225X00000X Occupational Therapist (Licence: NC 12831) | |
| 225X00000X Occupational Therapist (Licence: FL 20279) | |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2020-02-12 |