| NPI | 1639705809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL 20798) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2020-03-19 |
| Last Update Date | 2023-03-16 |