| NPI | 1104597814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL 26522) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA18487) |
| Enumeration Date | 2021-09-22 |
| Last Update Date | 2025-09-30 |