| NPI | 1376162552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT24969) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA17712) |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2024-02-19 |