| NPI | 1417354572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT20040) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA13117) |
| Enumeration Date | 2014-12-04 |
| Last Update Date | 2020-10-08 |