| NPI | 1134267297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: FL OT11227) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA8723) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2024-05-31 |