| NPI | 1871929521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA60368180) |
| 225700000X Massage Therapist (Licence: ID MA5420) | |
| Enumeration Date | 2013-09-25 |
| Last Update Date | 2022-01-24 |