| NPI | 1073944666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: FL 11994) |
| Enumeration Date | 2013-12-06 |
| Last Update Date | 2023-06-09 |