| NPI | 1215133343 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT11897) | 
| Additional Taxonomies | 225X00000X Occupational Therapist | 
| 251E00000X Home Health (Licence: FL OT11897) | |
| Enumeration Date | 2007-06-25 | 
| Last Update Date | 2021-10-04 |