| NPI | 1629681556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT25661) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: FL PTA30486) |
| Enumeration Date | 2020-08-29 |
| Last Update Date | 2024-10-11 |