| NPI | 1497163570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA13468) |
| Enumeration Date | 2014-08-01 |
| Last Update Date | 2023-07-10 |