| NPI | 1023014677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: FL ot9634) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL OT9634) |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2021-07-19 |