| NPI | 1558085365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: FL 19007) |
| Additional Taxonomies | 2080S0010X Pediatrics, Sports Medicine (Licence: FL 19007) |
| Enumeration Date | 2022-09-27 |
| Last Update Date | 2022-09-27 |