| NPI | 1053847616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MD 09744) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA14673) |
| 225X00000X Occupational Therapist (Licence: FL OT22268) | |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2022-08-27 |