| NPI | 1568629442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL ot11230) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL OT11230) |
| 252Y00000X Early Intervention Provider Agency (Licence: FL OT11230) | |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2018-03-21 |