| NPI | 1306215736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XG0600X Occupational Therapist, Gerontology (Licence: FL OTA13607) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OTA13607) |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2015-09-15 |