| NPI | 1093459422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: FL OTA16835) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA16835) |
| Enumeration Date | 2022-04-22 |
| Last Update Date | 2022-09-14 |