| NPI | 1003681503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: FL OT24763) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: FL OT24763) |
| Enumeration Date | 2023-11-15 |
| Last Update Date | 2026-02-12 |