| NPI | 1073256749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT16011) |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| 252Y00000X Early Intervention Provider Agency | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| Enumeration Date | 2022-04-19 |
| Last Update Date | 2026-05-26 |