| NPI | 1083120505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT18911) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2017-12-20 |
| Last Update Date | 2022-08-10 |