| NPI | 1205380144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist (Licence: OT24034) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT24034) |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2024-06-25 |