| NPI | 1114664232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist (Licence: FL 22899) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL 22899) |
| Enumeration Date | 2022-05-19 |
| Last Update Date | 2022-08-02 |