| NPI | 1083629463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist (Licence: FL OT 11028) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT11028) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2016-07-25 |