| NPI | 1003502923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: FL 17212) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: FL 17212) |
| Enumeration Date | 2023-04-13 |
| Last Update Date | 2023-04-13 |