| NPI | 1295907319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist (Licence: FL 14978) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WI 3922-026) |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2012-02-17 |