| NPI | 1336712447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA18309) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2021-07-19 |
| Last Update Date | 2021-07-21 |