| NPI | 1093278178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL 21897) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2019-04-07 |
| Last Update Date | 2021-08-09 |