| NPI | 1962550368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA 17055) |
| Additional Taxonomies | 171W00000X Contractor (Licence: OR 323840) |
| 225700000X Massage Therapist (Licence: OR 14433) | |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2018-05-09 |