| NPI | 1871985440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: TX 133717) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: TX 212793) |
| Enumeration Date | 2015-02-19 |
| Last Update Date | 2023-11-20 |