| NPI | 1538446406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist (Licence: FL 12005) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: FL 12005) |
| Enumeration Date | 2011-11-07 |
| Last Update Date | 2026-03-02 |