| NPI | 1194215459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT10448) |
| Additional Taxonomies | 225CA2400X Rehabilitation Counselor, Assistive Technology Practitioner |
| 225XE0001X Occupational Therapist, Environmental Modification | |
| 225XP0200X Occupational Therapist, Pediatrics | |
| Enumeration Date | 2018-05-12 |
| Last Update Date | 2018-05-12 |