| NPI | 1558404061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT10917) |
| Additional Taxonomies | 171W00000X Contractor (Licence: FL OT10917) |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: FL OT10917) | |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2022-03-21 |