| NPI | 1952732604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TN OT0000002980) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TN MT0000009333) |
| Enumeration Date | 2013-12-05 |
| Last Update Date | 2013-12-05 |