| NPI | 1659723948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: FL OT21933) |
| Additional Taxonomies | 302F00000X Exclusive Provider Organization (Licence: MD 07948) |
| 251B00000X Case Management (Licence: MD 07948) | |
| 302R00000X Health Maintenance Organization (Licence: MD 07948) | |
| 305S00000X Point of Service (Licence: MD 07948) | |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2022-05-12 |