| NPI | 1932313004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WI 4920-26) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WI 12895-146) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2015-06-12 |