| NPI | 1619403110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XM0800X Occupational Therapist, Mental Health (Licence: FL OT4950) |
| Additional Taxonomies | 225XG0600X Occupational Therapist, Gerontology (Licence: FL OT4950) |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2017-05-19 |