| NPI | 1972968287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: MT OTP-OTA-LIC-10547) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| 225700000X Massage Therapist | |
| Enumeration Date | 2015-12-31 |
| Last Update Date | 2025-06-08 |