| NPI | 1578695656 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 222Q00000X Developmental Therapist | 
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: FL OT12436) | 
| Enumeration Date | 2007-03-12 | 
| Last Update Date | 2023-03-15 |